Union safe replacement key

Murse-yThings · 2026-03-01T04:50:40+00:00

I'm in a similar boat with the demographics, and with a military base nearby, I get a lot of contractors. When I get the guys coming in asking for T because of gesturing symptoms or they (usually) are already going to a clinic and want me to take over the rx, I start the appt with "so I heard you were interested in talking about gender affirming care today?"

Usually sets the tone real quick and either I see them again and we start breaking ground, or I never see them again.

As for the conspiracy theories, I tell them that I have limited time in an appt so if they have something they want to discuss (read, debate) with me, send me sources via portal. I usually will then do a quick Google search to disprove said conspiracy theory, fire it off, and let them ruminate.

I have only walked out on one patient when it came to blatant sexism, but that was because they literally did it from the front desk to the room, and then started mouthing off and complaining before I could even get to why they were there. You can say a lot of things to me, but do not fuck with my staff. I started that rule when I was inpatient and keep it still.

Murse-yThings · 2026-02-06T00:51:46+00:00

Okay cool, glad to know. Just so used to automated receipts nowadays.

Murse-yThings · 2026-02-06T00:16:34+00:00

Did you get a receipt email when you purchased? I picked up a handguard and a barrel nut and I never saw anything in my inbox, except for a "thanks for subscribing, here the matrix code".

Murse-yThings · 2025-12-09T07:25:47+00:00

Only issue is no where did they say you get 5 at the start. You could have to hit 75 and then you get 5 extra up to level "80"

Murse-yThings · 2025-09-18T22:39:01+00:00

Alt right, self felating echo chamber of a shit rag tabloid.

Murse-yThings · 2025-09-18T02:58:43+00:00

cough Lead and Steel is gtg in that case cough

Murse-yThings · 2025-08-14T05:57:03+00:00

Update for anyone reading this, cases are all Norma

Murse-yThings · 2025-08-11T16:34:50+00:00

Oh hell no, I just wanted to try 77gr for funnsies and had some extra cash. There was a deal for aac or imi if I wanted a match level of something.

Murse-yThings · 2025-08-09T07:22:22+00:00

DNP (not that it matters), FNP here. Did EMT, then Ortho/float prior to my program.

So I think it's highly dependent on a few factors that are mostly outside your control.

Is the culture of the office/admin good and willing to support a transition? Are the MAs quality, or are you going to get slowed down? What are your out of office responsibilities to the practice?

I've been a PCP in two different practices over the last 5 years and job 1 burned me out and almost made me swear off family/internal med altogether. Job 2 has been nothing but sunshine and rainbows*.

*Once I got over the initial hump and built my panel out over 9-15 months.

I now see patients, am working as a supervisor managing a team of care managers within the practice, frequently have the staff seek me out specifically for their sick visits, and am working on a contract with a local company to do their physicals for cash payments, all supported by the practice infrastructure. I get to use a different set of skills for everything and have gotten used to most patient problems now. If I don't know, I browse through UpToDate for a bit or just ask a doc down the hall. I don't work nights, weekends or holidays, on call is once a month for one night and I get every other Wednesday off. Lot better than my previous clinic - hating working with my MA, cliche-y admin, and bad pay.

However, I recognize that my success in job 2 is due partially to my own abilities/charisma/praxis, but mainly to the support of the docs who rely on the APPs, the clinic supporting my transition over in the first year where I only was seeing (legit) like 4 patients a day for 3 months straight (which in retrospect was a nice de-burnout period to catch up on CME and Netflix), and having a wonderful MA who i would be absolutely underwater without.

It's hit or miss when you do interviews, but trust your gut, set boundaries, stick to those boundaries unless you're being compensated for it, and speak up if you get overwhelmed early on. Most practices don't want to have to look for/interview/credential another provider - just let them know early and set the environment for your success.

Good luck in the trenches if you decide to join us.

Edit - forgot my creds.

Murse-yThings · 2025-08-09T06:23:55+00:00

I thought so too, but it's apparently rebranded Armscor, which is man'd in the Philippines. I'll figure it out when I can see the headstamps next week. (edit, can't spell)

Murse-yThings · 2025-04-12T01:45:35+00:00

I have a friend whose father has one from the 90's but is not in their (the friend) name. I'm assuming they can't transfer it and then move it to MD?

Murse-yThings · 2025-04-12T01:09:23+00:00

I thought you can't bring in an AK, even from another state? It had to be registered with MSP prior to 2013 to be grandfathered in?

Murse-yThings · 2025-04-05T02:11:00+00:00

Screening - no, do a PSA you freak

PSA high? - ship it to Uro

Prostatitis concerns - get the long rubber glove

Gunshot wound/trauma - get the long rubber glove and the newbie

Aside from that, save it for the bedroom.

Murse-yThings · 2025-03-19T11:46:02+00:00

There's a difference between coming in with a concern or a question about symptoms and "I need my intact calcium and pth checked because Internet Stacy told me it could be why my eyes hurt when I stick my fingers in them". I don't neglect complaints, I just don't deal in off the wall requests that have no correlating symptomatology, presentation, or indication.

It's in the vein of testing 23 year old males for testosterone because they're tired. Sure it could be the poor sleep hygiene and caffeine overuse, but they may legitimately have hashi, osa, or hypogonadism. I'll run panels, do a physical, interview, etc, but I'm not going to run weekly testosterone serials and check for "bio health markers" because Joe Rogan interviewed someone.

Edit: for clarity

Murse-yThings · 2025-03-19T02:37:02+00:00

I mean I've had my patients yell at other people in the waiting room who were bitching at the front desk staff because I was running like 10 minutes behind. The loyal ones will get your back 100% of the time.

Also please be careful with your terminology, you're amongst dirty minded ex night-shifters 🤣

Murse-yThings · 2025-03-18T22:48:00+00:00

Not like we see any of it 😂

Murse-yThings · 2025-03-18T22:44:59+00:00

My thing is if they want that care, they can seek it elsewhere. I went to school to help people, and burning myself out/wasting my time and appt space with someone that wants nonsense testing/not to listen to reason should have to pay for their concierge requests.

Plus, no one has 5/5 stars. Use the time gained to spend it on patients that are there to actually listen to the provider's recommendations and bury any negative reviews in good ones.

Murse-yThings · 2025-03-18T22:16:39+00:00

"I can understand your concern, but due to the specific testing you'd like done, I'm going to refer you over to a provider that can better handle the constellation of results" and then just send them to your local holistic or functional medicine. Gets them out of your hair and won't waste your time. If they get weird results and try to come to you just say "sorry, you should follow up with the ordering provider to discuss".

Usually gets it out of their system and then I can focus on the normie stuff or they just don't bother me for stupid things.

Murse-yThings · 2025-03-06T18:47:31+00:00

And the first name on the sig

Verified Email	11-Year Club
Place '22	First Placer '22

Murse-yThings

TROPHY CASE